Israeli Defense Minister Yoav Gallant said Friday that Israel was “thoroughly planning” a military offensive in the southern Gaza city of Rafah, despite growing international concerns about the safety of hundreds of thousands of Palestinians seeking refuge there.

U.S. President Joe Biden has urged Israel not to carry out the operation without a credible plan to protect civilians and to instead focus on a cease-fire. Egypt has said an offensive on Rafah could threaten diplomatic relations between the countries. Many other world leaders have issued similar messages of concern.

An estimated 1.4 million Palestinians, more than half of Gaza’s population, have crammed into Rafah, most of them displaced by fighting elsewhere in the territory. Hundreds of thousands are living in sprawling tent camps.

Displaced Palestinians camp near the border fence between Gaza and Egypt, Feb. 16, 2024, in Rafah, in the southern Gaza Strip, amid the ongoing conflict between Israel and the Palestinian Hamas militant group.

Displaced Palestinians camp near the border fence between Gaza and Egypt, Feb. 16, 2024, in Rafah, in the southern Gaza Strip, amid the ongoing conflict between Israel and the Palestinian Hamas militant group.

Biden said Friday that he’d had numerous lengthy phone conversations with Israeli Prime Minister Benjamin Netanyahu over the past several days and that he’d asked Netanyahu for a temporary cease-fire in Gaza to get the hostages out.

“I’m still hopeful that that can be done,” Biden told reporters at the White House.

“I’m hoping that the Israelis will not make any massive land invasion in the meantime. So it’s my expectation that’s not going to happen. There has to be a cease-fire,” he said, adding that it was not just Israelis held hostage. “It’s American hostages as well,” he said, and expressed hope that they would be brought home.

Biden said hostage negotiations were taking place.

The International Court of Justice (ICJ) on Friday rejected a South African request to impose urgent measures to safeguard Rafah but also stressed that Israel must respect measures imposed late last month at a preliminary stage in a landmark genocide case.

The ICJ said in a statement that the “perilous situation” in Rafah “demands immediate and effective implementation of the provisional measures indicated by the court in its order of 26 January 2024, which are applicable throughout the Gaza Strip, including in Rafah, and does not demand the indication of additional provisional measures.”

The world court added that Israel “remains bound to fully comply with its obligations under the Genocide Convention and with the said order, including by ensuring the safety and security of the Palestinians in the Gaza Strip.”

Israel says it does all it can to spare civilians and is targeting only Hamas militants whose tactic is to hide in civilian areas, which makes it difficult for Israel to avert civilian casualties.

A Palestinian looks at the destruction left by an Israeli bombardment in the Maghazi refugee camp, central Gaza Strip, on Feb. 16, 2024.

A Palestinian looks at the destruction left by an Israeli bombardment in the Maghazi refugee camp, central Gaza Strip, on Feb. 16, 2024.

Last month the court ordered Israel to do all it could to prevent death, destruction and any acts of genocide in Gaza, but the panel stopped short of ordering an end to the military offensive that has eviscerated the Palestinian enclave.

Israel strongly denies committing genocide in Gaza.

Meanwhile, the ICJ will hold six days of hearings starting Monday about the legal consequences of Israel’s occupation of the Palestinian territories.

Fifty-two states will present arguments at the hearings. The court is acting on a request made in 2022 by the U.N. General Assembly for a nonbinding opinion on the occupation.

Though Israel has ignored such opinions in the past, the hearing and subsequent ruling of the ICJ could add political pressure over its military offensive in Gaza.

Intensified airstrikes on Rafah are reportedly forcing people out of Gaza’s southernmost city toward central Gaza’s Deir al-Balah, according to the U.N. Office for the Coordination of Humanitarian Affairs.

The emergency relief coordinator, Martin Griffiths, is following with great concern the developments in Al Nasser hospital in Khan Younis. In a social media post, Griffiths said the wounded and sick, as well as medical personnel and facilities, must be protected.

On Wednesday and Thursday, the Palestine Red Crescent Society reported that Al Amal hospital in Khan Younis sustained damage from intense shelling in its vicinity.

Humanitarian and health workers continue to face enormous challenges and risks to help people in need. From October 7 to February 12, there were 378 attacks on health care across Gaza, affecting 98 health facilities and 98 ambulances, according to the World Health Organization.

A column of armored Israeli army vehicles drives in southern Israel near the Gaza border on Feb. 16, 2024.

A column of armored Israeli army vehicles drives in southern Israel near the Gaza border on Feb. 16, 2024.

Israeli forces searched the grounds of southern Gaza’s main hospital Friday, a day after raiding the complex. The hospital’s generators stopped working after the raid, the Gaza health ministry said, and five patients in intensive care died when their oxygen was cut off.

Israel’s military said it took control of the hospital because it had intelligence that there were Israeli hostages and hostages’ bodies in the hospital. So far, no hostages or hostage bodies from the October 7 Hamas attack on Israel have been found at the site, according to Israeli military officials.

Gaza’s health ministry has accused the Israelis of disrupting the care of the hospital’s patients when they raided the building. The Israelis have denied that claim.

At least 28,576 Palestinians have been killed and 68,291 wounded in Israeli strikes on Gaza since October 7, according to the Hamas-controlled health ministry in Gaza.

The war started then with the Hamas terror attack on Israel that killed 1,200 people, according to Israeli tallies, and led to the capture of about 240 hostages, 100 of whom were released during a weeklong cease-fire in November.

Some information for this report came from The Associated Press, Agence France-Presse and Reuters.